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Depression in Parents, Parenting, and Children: Opportunities to Improve Identification, Treatment, and Prevention (2009)

Chapter: Appendix B: Depression and Parenting Workshop Agenda and Participants

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Suggested Citation:"Appendix B: Depression and Parenting Workshop Agenda and Participants." National Research Council and Institute of Medicine. 2009. Depression in Parents, Parenting, and Children: Opportunities to Improve Identification, Treatment, and Prevention. Washington, DC: The National Academies Press. doi: 10.17226/12565.
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Page 435
Suggested Citation:"Appendix B: Depression and Parenting Workshop Agenda and Participants." National Research Council and Institute of Medicine. 2009. Depression in Parents, Parenting, and Children: Opportunities to Improve Identification, Treatment, and Prevention. Washington, DC: The National Academies Press. doi: 10.17226/12565.
×
Page 436
Suggested Citation:"Appendix B: Depression and Parenting Workshop Agenda and Participants." National Research Council and Institute of Medicine. 2009. Depression in Parents, Parenting, and Children: Opportunities to Improve Identification, Treatment, and Prevention. Washington, DC: The National Academies Press. doi: 10.17226/12565.
×
Page 437
Suggested Citation:"Appendix B: Depression and Parenting Workshop Agenda and Participants." National Research Council and Institute of Medicine. 2009. Depression in Parents, Parenting, and Children: Opportunities to Improve Identification, Treatment, and Prevention. Washington, DC: The National Academies Press. doi: 10.17226/12565.
×
Page 438
Suggested Citation:"Appendix B: Depression and Parenting Workshop Agenda and Participants." National Research Council and Institute of Medicine. 2009. Depression in Parents, Parenting, and Children: Opportunities to Improve Identification, Treatment, and Prevention. Washington, DC: The National Academies Press. doi: 10.17226/12565.
×
Page 439
Suggested Citation:"Appendix B: Depression and Parenting Workshop Agenda and Participants." National Research Council and Institute of Medicine. 2009. Depression in Parents, Parenting, and Children: Opportunities to Improve Identification, Treatment, and Prevention. Washington, DC: The National Academies Press. doi: 10.17226/12565.
×
Page 440

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Appendix B Depression and Parenting Workshop Agenda and Participants AGENDA Workshop on Depression and Parenting Monday, April 14, 2008 Beckman Center Auditorium Irvine, California Workshop Goals: 1. Explore innovative strategies or programs that integrate mental health services for depression, parenting, and child development services within various settings (e.g., community, primary care, juvenile justice, child care, home visitation) for diverse populations of children and families. 2. Explore existing opportunities for intervention as well as exist- ing barriers to implementation, including public policy strategies, infrastructure of systems, and funding mechanisms given the large numbers of depressed parents. 3. Explore existing strategies that businesses consider for reimbursing and implementing early intervention and prevention mental health services for employees who are diagnosed with depression. 4. Explore existing strategies and programs that ensure interventions are appropriate for diverse populations, including culture, lan- guage, family structure, and multigenerational issues. 435

436 DEPRESSION IN PARENTS, PARENTING, AND CHILDREN PROGRAM WELCOMING REMARKS Moderator: Mary Jane England, MD, Committee Chair SESSION I: Integration of Mental Health, Parenting, and Child Development Services in Medical and Other Care Settings Elizabeth Howell, MD, Committee Member Objective: Explore the identification, screening, treatment, or referral for depression in parents in a variety of medical and other settings (OB/ GYN, pediatrics, family practice, community mental health, community health centers) that serve women, children, and families; the interface or integration of mental health services for depression in primary care through county-government service structure; and capacity building to facilitate better access to quality services in these settings. Applying Tools, Teamwork, and Tenacity to Address Parental Depression Allen Dietrich, MD, Dartmouth Medical School The UIC Perinatal Mental Health Project Laura Miller, MD, University of Illinois at Chicago Clinical Family Health Services: Depression, Parenting, and Child Development Amy Russell, MD, Clinica Campesina, Colorado Integrating Parenting and Child Development in Primary Care: Healthy Steps for Young Children Cynthia Minkovitz, MD, MPP, Johns Hopkins University Challenges and Opportunities of Community Behavioral/Mental Health System in California  Nancy Pena (William Arroyo, MD, substituting, Los Angeles County, Department of Mental Health) Discussion of Session I Patrick Finely, PharmD, BCPP, Committee Member SESSION II: Unmet Needs and Challenges in Addressing Depression in Parents Sergio Aguilar-Gaxiola, MD, PhD, Committee Member Objective: Explore issues which create unique challenges to providing

APPENDIX B 437 quality mental health services for depression for parents and their children, particularly for a diverse society and in care settings alternate to medical settings. Unmet Needs and Challenges in Addressing Depression in Parents William Vega, MD, University of California, Los Angeles Parental Depression in Family Medicine and Rural Practices  Barbara Yawn, MD, MSc, FAAFP, Olmstead Medical Center and University of Minnesota Workforce Education and Training and Implementation of Best Practices Evidence-Based Practices Sandra Naylor-Goodwin, PhD, California Institute of Mental Health Improving Depression Outcomes in Underserved Communities “It Takes a Village to Build a Village”  Kenneth Wells, MD, MPH (Jeanne Miranda, PhD, substituting, Partners in Care and Community Partners in Care) Discussion of Session II SESSION III: Innovative Models: Integrating Parenting, Mental Health Services for Depression, and Child Development Constance Hammen, PhD, Committee Member Objective: Exploration of innovative service-level programs/models to address issues related to parenting, depression, and child development in multiple sectors with a variety of community-based programs. Maternal Depression: Low-income Minorities. Where Should We Provide Care? How Does Care Effect Children? Jeanne Miranda, PhD, University of California, Los Angeles The Healthy Mental Development of Young Children: Primary Care Provider Connection  Deborah Saunders, Illinois Department of Healthcare and Family Services Mental Health Augmentation to Nurse Home Visiting  Paula Zeanah, PhD, MSN, RN, Louisiana Office of Public Health and Tulane University School of Medicine Innovative Models and Special Populations Joanne Nicholson, PhD, University of Massachusetts Medical School Parenting in Dependency Court The Honorable Cindy Lederman, JD, Miami Dade Juvenile Court

438 DEPRESSION IN PARENTS, PARENTING, AND CHILDREN Discussion of Session III SESSION IV: Policy, Legislation, and Financing Mary Jane England, MD, Committee Chair Objective: Exploration of infrastructural barriers that facilitate or impede the implementation or replication of promising or best practices at any level (regional, state, multi-state, national) or for larger-scale implementation in a variety of settings. What About Those Propositions? Emily Nahat, California Department of Mental Health Policy Improvements in the ABCD States: What and How Neva Kaye, National Academy for State and Health Policy Policy, Legislation, and Financing of Mental Health in California  William Arroyo, MD, Los Angeles County, Department of Mental Health Exploring Opportunities and Challenges Related to Policy, Legislation, and Financing Neal Adams, MD, MPH, California Institute of Mental Health Discussion of Session IV CLOSING PARTICIPANTS Neal Adams, California Institute for Mental Health Sergio Aguilar-Gaxiola,* Center for Reducing Health Disparities, University of California, Davis William Arroyo, Los Angeles County, Department of Mental Health Kathryn Barnard,* Emerita, University of Washington William Beardslee,* Children’s Hospital, Boston Judith Belfiori, Consultant Melissa Brodowski, Office on Child Abuse and Neglect, Children’s Bureau, Administration of Children and Families Palanda Brownlow, First 5 LA Howard Cabral,* School of Public Health, Boston University * Committee member.

APPENDIX B 439 Bruce Compas,* Center for Research on Human Development, Vanderbilt University Beverly Daley, Children’s Hospital, Los Angeles Dale Danley, The California Endowment Allen J. Dietrich, Dartmouth Medical School Marva Edwards, San Francisco Child Abuse Prevention Center Mary Jane England,* Regis College Vincent J. Felitti, Kaiser Permanente Karen Moran Finello, Keck School of Medicine, University of Southern California Patrick R. Finley,* University of California at San Francisco Holly Fitzgerald, Connections For Life Gwen Foster, The California Endowment Carolyn Francis, Library Foundation Farisa Francis, Library Foundation Lillian Gelberg, David Geffen School of Medicine, University of California, Los Angeles Sherryl Goodman,* Emory University Denise Gordon, Borrego Community Health Foundation Nancy Gutierrez, Teen Parent Program, Los Angeles Unified School District Erika Hainley-Jewell, The Children’s Clinic Constance Hammen,* University of California, Los Angeles Mary Sue Heilemann, University of California, Los Angeles Dulce Hernandez, Coalition of Orange County Community Clinics Elizabeth Howell,* Mount Sinai School of Medicine Pec Indman, Postpartum Support International Mareasa Isaacs,* National Alliance of Multi-Ethnic Behavioral Health Associations Ellen Iverson, Children’s Hospital, Los Angeles Hendree Jones,* Johns Hopkins University Rebecca Kang, University of Washington Neva Kaye, National Academy for State Health Policy Deborah Koniak-Griffin, School of Nursing, University of California, Los Angeles Preeti Kothary, Clinicas Del Camino Real Yoriko Kozuki, University of Washington The Honorable Cindy Lederman, Administrative Judge Juvenile Court, Eleventh Judicial Circuit, Dade County, Florida LuAnna Loza, The Coalition of Orange County Community Clinics * Committee member.

440 DEPRESSION IN PARENTS, PARENTING, AND CHILDREN Sithary Ly, Families in Good Health Laura Magana, Clinicas Del Camino Real Josie Melendez, St. Mary Medical Center Kelly Miller, Connections for Life Laura Miller, Women’s Mental Health Program, University of Illinois at Chicago Cynthia Minkovitz, School of Public Health, Johns Hopkins Bloomberg Jeanne Miranda, University of California, Los Angeles Emily Nahat, Prevention and Early Intervention, California Department of Mental Health Sandra Naylor-Goodwin, California Institute for Mental Health Joanne Nicholson, Center for Mental Health Services Research, University of Massachusetts Medical School Imelda Nunez, Share Our Selves Patricia O’Campo,* Centre for Research on Inner City Health, University of Toronto Ardis L. Olson,* Dartmouth Medical School Robert Phillips,* Robert Graham Center, American Academy of Family Medicine Marie Poulsen, Keck School of Medicine, University of Southern California Frank Putnam,* Cincinnati Children’s Hospital Medical Center Amy Russell, Clinica Campesina, Colorado Deborah Saunders, Illinois Office of Healthcare and Family Services Barbara Schwartz, Long Beach Department of Health and Human Services Sara Seaton, St. Mary Medical Center Rashmi Shetgiri, University of California, Los Angeles Jeanette Valentine, Perinatal Mental Health Task Force, Los Angeles County William A. Vega, University of California, Los Angeles Olivia Velasquez, Children’s Hospital, Los Angeles Barbara Yawn, Olmstead Medical Center, University of Minnesota Monica Young, Clinicas del Camino Real Paula Zeanah, Tulane University * Committee member.

Next: Appendix C: Biographical Sketches of Committee Members and Staff »
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Depression is a widespread condition affecting approximately 7.5 million parents in the U.S. each year and may be putting at least 15 million children at risk for adverse health outcomes. Based on evidentiary studies, major depression in either parent can interfere with parenting quality and increase the risk of children developing mental, behavioral and social problems. Depression in Parents, Parenting, and Children highlights disparities in the prevalence, identification, treatment, and prevention of parental depression among different sociodemographic populations. It also outlines strategies for effective intervention and identifies the need for a more interdisciplinary approach that takes biological, psychological, behavioral, interpersonal, and social contexts into consideration.

A major challenge to the effective management of parental depression is developing a treatment and prevention strategy that can be introduced within a two-generation framework, conducive for parents and their children. Thus far, both the federal and state response to the problem has been fragmented, poorly funded, and lacking proper oversight. This study examines options for widespread implementation of best practices as well as strategies that can be effective in diverse service settings for diverse populations of children and their families.

The delivery of adequate screening and successful detection and treatment of a depressive illness and prevention of its effects on parenting and the health of children is a formidable challenge to modern health care systems. This study offers seven solid recommendations designed to increase awareness about and remove barriers to care for both the depressed adult and prevention of effects in the child. The report will be of particular interest to federal health officers, mental and behavioral health providers in diverse parts of health care delivery systems, health policy staff, state legislators, and the general public.

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